Kelly Kellner, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11017884 Issued in FL

Practice address

10730 Ketchum Valley Dr
Riverview, FL 33579-7185

Phone

(813) 741-3234

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1295488997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16229 BRIDGECROSSING DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474886",
            "telephone_number": "636-357-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 KETCHUM VALLEY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797185",
            "telephone_number": "813-741-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keadee Emergency Ministries Intervention
• Kelly Kay Keener
• Scott Sands Keller, MSW, LCSW
• Anthony David Kelley, D.MIN., LMFT
• Heather Kelley
• Kellogg Endodontics, P.a.
• David Kellogg, D.D.S., M.S.
• Jacqueline K Kemokai, RN
• Andrea Kemp
• Lovely Kennedy

• Family Nurse Practitioner in Riverview, FL
• Providers in Riverview, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.